Graduated: 2020
NPI: 1750977252
Practice Locations (2)
UNIVERSITY HEALTH SHREVEPORT, LLC
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186260000
WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP
8001 YOUREE DR
SHREVEPORT, LA 711152302
3182123000
Source: CMS National Downloadable File, September 2026.